Search Results (29)

Background and Objectives: This study aims to identify risk factors associated with MDRO infections and assess their impact on patient outcomes in Egyptian ICUs. Materials and Methods: The widespread overuse of antimicrobials has led to antibiotic multidrug resistance, posing significant challenges in intensive care units (ICUs) and leading to increased morbidity, mortality, and healthcare costs. A prospective observational study was conducted over 12 months, including 113 adult patients admitted to the ICU with confirmed bacterial infections. Comprehensive medical assessments and routine investigations were performed, including multisource cultures based on clinical suspicion. Patient histories, underlying conditions, and disease progression were documented. Patients were classified into two groups: those infected with MDROs and those without MDRO infections. Results: Significant differences were observed between patients with and without MDRO infections regarding temperature, pH, PaO₂, HCO₃, serum creatinine levels, high-dose inotropes, and inotrope dependence (p-values: 0.01, 0.028, 0.036, 0.008, <0.001, 0.013, 0.029, 0.039, <0.001, and 0.003, respectively). Additionally, cerebrovascular stroke and renal failure were significantly more frequent in MDRO-infected patients (p-values: 0.048 and 0.007, respectively). MDROs accounted for 42% of infections. The most commonly detected MDRO was Klebsiella spp. (52%). Patients with MDRO infections showed significantly higher mortality (42.6%), increased incidence of ARDS, invasive ventilation, and longer ventilation durations. Independent risk factors included prior antibiotic use (OR: 3.2; 95% CI: 1.5–6.8) and invasive device presence (OR: 2.7; 95% CI: 1.2–5.9). Conclusions: Cerebrovascular stroke and renal failure appear to be risk factors for MDRO infections. MDRO infections in ICUs are associated with poor clinical outcomes and increased complications. Improved antimicrobial stewardship and targeted prevention strategies are urgently required. Full article

Background: A crucial challenge is the determination of chronic obstructive pulmonary disease (COPD) immune-related mechanisms, where one of the important components of the inflammatory axes in COPD is Toll-like receptor-9 (TLR9) and interleukin-26 AK155(IL-26). Aim: To examine the relation between TLR9 (T1237C) SNP rs5743836 and serum levels of AK155(IL-26) with the exacerbation of COPD. Subjects: A total of 96 COPD patients sub-classified into two groups. Materials: DNA was purified from blood samples of stable COPD patients (n = 48) vs. exacerbated COPD patients (n = 48) as well as 42 age- and sex-matched healthy smokers and passive smokers as a control group. Methods: Genotyping for TLR9 rs5743836 (T1237C) polymorphism was performed using real time polymerase chain reaction (RT-PCR). AK155(IL-26) serum levels were determined using ELISA. Results: There is a significantly higher frequency of the mutant homozygous genotype (C/C) and the mutated C allele of TLR9 rs5743836 (T1237C) in COPD patients and in the exacerbated group when compared with the control group and stable COPD patients, respectively, with OR 31.98, 1.8 to 57.7, and OR 3.64, 0.98 to 13.36, respectively. For the mutated C allele, the OR was 3.57, 1.94 to 6.56, p = 0.001, OR 1.83, 1.02 to 3.27, p = 0.041, respectively. In the exacerbated COPD group, there was a significant association between TLR9 rs5743836 SNP and BMI and the lung vital function measures, CRP, and AK155(IL-26). The exacerbated COPD group has higher serum levels of AK155(IL-26) compared with the stable group or when compared with the control group (p = 0.001) for both. AK155(IL-26) serum levels have a positive significant correlation with CRP and BMI and a significant negative correlation with FEV1% and FEV1/FVC in exacerbated COPD patients. Conclusions: Our results demonstrated a relation linking TLR-9 rs5743836 (T1237C) expression and the risk of COPD development and its exacerbation, indicating that dysfunctional polymorphisms of the innate immune genes can affect COPD development and its exacerbation. AK155(IL-26) upregulation was related to decreased lung functionality, systematic inflammatory disease, and COPD exacerbation. Full article

The COVID-19 epidemic poses a worldwide threat that transcends provincial, philosophical, spiritual, radical, social, and educational borders. By using a connected network, a healthcare system with the Internet of Things (IoT) functionality can effectively monitor COVID-19 cases. IoT helps a COVID-19 patient recognize symptoms and receive better therapy more quickly. A critical component in measuring, evaluating, and diagnosing the risk of infection is artificial intelligence (AI). It can be used to anticipate cases and forecast the alternate incidences number, retrieved instances, and injuries. In the context of COVID-19, IoT technologies are employed in specific patient monitoring and diagnosing processes to reduce COVID-19 exposure to others. This work uses an Indian dataset to create an enhanced convolutional neural network with a gated recurrent unit (CNN-GRU) model for COVID-19 death prediction via IoT. The data were also subjected to data normalization and data imputation. The 4692 cases and eight characteristics in the dataset were utilized in this research. The performance of the CNN-GRU model for COVID-19 death prediction was assessed using five evaluation metrics, including median absolute error (MedAE), mean absolute error (MAE), root mean squared error (RMSE), mean square error (MSE), and coefficient of determination (R²). ANOVA and Wilcoxon signed-rank tests were used to determine the statistical significance of the presented model. The experimental findings showed that the CNN-GRU model outperformed other models regarding COVID-19 death prediction. Full article

The paper focuses on the hepatitis C virus (HCV) infection in Egypt, which has one of the highest rates of HCV in the world. The high prevalence is linked to several factors, including the use of injection drugs, poor sterilization practices in medical facilities, and low public awareness. This paper introduces a hyOPTGB model, which employs an optimized gradient boosting (GB) classifier to predict HCV disease in Egypt. The model’s accuracy is enhanced by optimizing hyperparameters with the OPTUNA framework. Min-Max normalization is used as a preprocessing step for scaling the dataset values and using the forward selection (FS) wrapped method to identify essential features. The dataset used in the study contains 1385 instances and 29 features and is available at the UCI machine learning repository. The authors compare the performance of five machine learning models, including decision tree (DT), support vector machine (SVM), dummy classifier (DC), ridge classifier (RC), and bagging classifier (BC), with the hyOPTGB model. The system’s efficacy is assessed using various metrics, including accuracy, recall, precision, and F1-score. The hyOPTGB model outperformed the other machine learning models, achieving a 95.3% accuracy rate. The authors also compared the hyOPTGB model against other models proposed by authors who used the same dataset. Full article

This study introduces ETLBOCBL-CNN, an automated approach for optimizing convolutional neural network (CNN) architectures to address classification tasks of varying complexities. ETLBOCBL-CNN employs an effective encoding scheme to optimize network and learning hyperparameters, enabling the discovery of innovative CNN structures. To enhance the search process, it incorporates a competency-based learning concept inspired by mixed-ability classrooms during the teacher phase. This categorizes learners into competency-based groups, guiding each learner’s search process by utilizing the knowledge of the predominant peers, the teacher solution, and the population mean. This approach fosters diversity within the population and promotes the discovery of innovative network architectures. During the learner phase, ETLBOCBL-CNN integrates a stochastic peer interaction scheme that encourages collaborative learning among learners, enhancing the optimization of CNN architectures. To preserve valuable network information and promote long-term population quality improvement, ETLBOCBL-CNN introduces a tri-criterion selection scheme that considers fitness, diversity, and learners’ improvement rates. The performance of ETLBOCBL-CNN is evaluated on nine different image datasets and compared to state-of-the-art methods. Notably, ELTLBOCBL-CNN achieves outstanding accuracies on various datasets, including MNIST (99.72%), MNIST-RD (96.67%), MNIST-RB (98.28%), MNIST-BI (97.22%), MNST-RD + BI (83.45%), Rectangles (99.99%), Rectangles-I (97.41%), Convex (98.35%), and MNIST-Fashion (93.70%). These results highlight the remarkable classification accuracy of ETLBOCBL-CNN, underscoring its potential for advancing smart device infrastructure development. Full article

Accurate cyclone intensity prediction is crucial for smart cities to effectively prepare and mitigate the potential devastation caused by these extreme weather events. Traditional meteorological models often face challenges in accurately forecasting cyclone intensity due to cyclonic systems’ complex and dynamic nature. Predicting the intensity of cyclones is a challenging task in meteorological research, as it requires expertise in extracting spatio-temporal features. To address this challenge, a new technique, called linear support vector regressive gradient descent Jaccardized deep multilayer perceptive classifier (LEGEMP), has been proposed to improve the accuracy of cyclone intensity prediction. This technique utilizes a dataset that contains various attributes. It employs the Herfindahl correlative linear support vector regression feature selection to identify the most important characteristics for enhancing cyclone intensity forecasting accuracy. The selected features are then used in conjunction with the Nesterov gradient descent jeopardized deep multilayer perceptive classifier to predict the intensity classes of cyclones, including depression, deep depression, cyclone, severe cyclone, very severe cyclone, and extremely severe cyclone. Experimental results have demonstrated that LEGEMP outperforms conventional methods in terms of cyclone intensity prediction accuracy, requiring minimum time, error rate, and memory consumption. By leveraging advanced techniques and feature selection, LEGEMP provides more reliable and precise predictions for cyclone intensity, enabling better preparedness and response strategies to mitigate the impact of these destructive storms. The LEGEMP technique offers an improved approach to cyclone intensity prediction, leveraging advanced classifiers and feature selection methods to enhance accuracy and reduce error rates. We demonstrate the effectiveness of our approach through rigorous evaluation and comparison with conventional prediction methods, showcasing significant improvements in prediction accuracy. Integrating our enhanced prediction model into smart city disaster management systems can substantially enhance preparedness and response strategies, ultimately contributing to the safety and resilience of communities in cyclone-prone regions. Full article

Cadmium is an environmental toxicant that instigates cognitive deficits with excessive glutamate excitatory neuroactivity in the brain. Topiramate, a glutamate receptor antagonist, has displayed favorable neuroprotection against epilepsy, cerebral ischemia, and Huntington’s disease; however, its effect on cadmium neurotoxicity remains to be investigated. In this study, topiramate was tested for its potential to combat the cognitive deficits induced by cadmium in rats with an emphasis on hippocampal oxidative insult, apoptosis, and autophagy. After topiramate intake (50 mg/kg/day; p.o.) for 8 weeks, behavioral disturbances and molecular changes in the hippocampal area were explored. Herein, Morris water maze, Y-maze, and novel object recognition test revealed that topiramate rescued cadmium-induced memory/learning deficits. Moreover, topiramate significantly lowered hippocampal histopathological damage scores. Mechanistically, topiramate significantly replenished hippocampal GLP-1 and dampened Aβ42 and p-tau neurotoxic cues. Notably, it significantly diminished hippocampal glutamate content and enhanced acetylcholine and GABA neurotransmitters. The behavioral recovery was prompted by hippocampal suppression of the pro-oxidant events with notable activation of SIRT1/Nrf2/HO-1 axis. Moreover, topiramate inactivated GSK-3β and dampened the hippocampal apoptotic changes. In tandem, stimulation of hippocampal pro-autophagy events, including Beclin 1 upregulation, was triggered by topiramate that also activated AMPK/mTOR pathway. Together, the pro-autophagic, antioxidant, and anti-apoptotic features of topiramate contributed to its neuroprotective properties in rats intoxicated with cadmium. Therefore, it may be useful to mitigate cadmium-induced cognitive deficits. Full article

Artificial intelligence (AI) systems are increasingly used in corporate security measures to predict the status of assets and suggest appropriate procedures. These programs are also designed to reduce repair time. One way to create an efficient system is to integrate physical repair agents with a computerized management system to develop an intelligent system. To address this, there is a need for a new technique to assist operators in interacting with a predictive system using natural language. The system also uses double neural network convolutional models to analyze device data. For fault prioritization, a technique utilizing fuzzy logic is presented. This strategy ranks the flaws based on the harm or expense they produce. However, the method’s success relies on ongoing improvement in spoken language comprehension through language modification and query processing. To carry out this technique, a conversation-driven design is necessary. This type of learning relies on actual experiences with the assistants to provide efficient learning data for language and interaction models. These models can be trained to have more natural conversations. To improve accuracy, academics should construct and maintain publicly usable training sets to update word vectors. We proposed the model dataset (DS) with the Adam (AD) optimizer, Ridge Regression (RR) and Feature Mapping (FP). Our proposed algorithm has been coined with an appropriate acronym DSADRRFP. The same proposed approach aims to leverage each component’s benefits to enhance the predictive model’s overall performance and precision. This ensures the model is up-to-date and accurate. In conclusion, an AI system integrated with physical repair agents is a useful tool in corporate security measures. However, it needs to be refined to extract data from the operating system and to interact with users in a natural language. The system also needs to be constantly updated to improve accuracy. Full article

This study aims to develop a predictive model for SARS-CoV-2 using machine-learning techniques and to explore various feature selection methods to enhance the accuracy of predictions. A precise forecast of the SARS-CoV-2 respiratory infections spread can help with efficient planning and resource allocation. The proposed model utilizes stochastic regression to capture the virus transmission’s stochastic nature, considering data uncertainties. Feature selection techniques are employed to identify the most relevant and informative features contributing to prediction accuracy. Furthermore, the study explores the use of neighbor embedding and Sammon mapping algorithms to visualize high-dimensional SARS-CoV-2 respiratory infection data in a lower-dimensional space, enabling better interpretation and understanding of the underlying patterns. The application of machine-learning techniques for predicting SARS-CoV-2 respiratory infections, the use of statistical measures in healthcare, including confirmed cases, deaths, and recoveries, and an analysis of country-wise dynamics of the pandemic using machine-learning models are used. Our analysis involves the performance of various algorithms, including neural networks (NN), decision trees (DT), random forests (RF), the Adam optimizer (AD), hyperparameters (HP), stochastic regression (SR), neighbor embedding (NE), and Sammon mapping (SM). A pre-processed and feature-extracted SARS-CoV-2 respiratory infection dataset is combined with ADHPSRNESM to form a new orchestration in the proposed model for a perfect prediction to increase the precision of accuracy. The findings of this research can contribute to public health efforts by enabling policymakers and healthcare professionals to make informed decisions based on accurate predictions, ultimately aiding in managing and controlling the SARS-CoV-2 pandemic. Full article

Wind patterns can change due to climate change, causing more storms, hurricanes, and quiet spells. These changes can dramatically affect wind power system performance and predictability. Researchers and practitioners are creating more advanced wind power forecasting algorithms that combine more parameters and data sources. Advanced numerical weather prediction models, machine learning techniques, and real-time meteorological sensor and satellite data are used. This paper proposes a Recurrent Neural Network (RNN) forecasting model incorporating a Dynamic Fitness Al-Biruni Earth Radius (DFBER) algorithm to predict wind power data patterns. The performance of this model is compared with several other popular models, including BER, Jaya Algorithm (JAYA), Fire Hawk Optimizer (FHO), Whale Optimization Algorithm (WOA), Grey Wolf Optimizer (GWO), and Particle Swarm Optimization (PSO)-based models. The evaluation is done using various metrics such as relative root mean squared error (RRMSE), Nash Sutcliffe Efficiency (NSE), mean absolute error (MAE), mean bias error (MBE), Pearson’s correlation coefficient (r), coefficient of determination (R2), and determination agreement (WI). According to the evaluation metrics and analysis presented in the study, the proposed RNN-DFBER-based model outperforms the other models considered. This suggests that the RNN model, combined with the DFBER algorithm, predicts wind power data patterns more effectively than the alternative models. To support the findings, visualizations are provided to demonstrate the effectiveness of the RNN-DFBER model. Additionally, statistical analyses, such as the ANOVA test and the Wilcoxon Signed-Rank test, are conducted to assess the significance and reliability of the results. Full article

The virus that causes monkeypox has been observed in Africa for several years, and it has been linked to the development of skin lesions. Public panic and anxiety have resulted from the deadly repercussions of virus infections following the COVID-19 pandemic. Rapid detection approaches are crucial since COVID-19 has reached a pandemic level. This study’s overarching goal is to use metaheuristic optimization to boost the performance of feature selection and classification methods to identify skin lesions as indicators of monkeypox in the event of a pandemic. Deep learning and transfer learning approaches are used to extract the necessary features. The GoogLeNet network is the deep learning framework used for feature extraction. In addition, a binary implementation of the dipper throated optimization (DTO) algorithm is used for feature selection. The decision tree classifier is then used to label the selected set of features. The decision tree classifier is optimized using the continuous version of the DTO algorithm to improve the classification accuracy. Various evaluation methods are used to compare and contrast the proposed approach and the other competing methods using the following metrics: accuracy, sensitivity, specificity, p-Value, N-Value, and F1-score. Through feature selection and a decision tree classifier, the following results are achieved using the proposed approach; F1-score of 0.92, sensitivity of 0.95, specificity of 0.61, p-Value of 0.89, and N-Value of 0.79. The overall accuracy of the proposed methodology after optimizing the parameters of the decision tree classifier is 94.35%. Furthermore, the analysis of variation (ANOVA) and Wilcoxon signed rank test have been applied to the results to investigate the statistical distinction between the proposed methodology and the alternatives. This comparison verified the uniqueness and importance of the proposed approach to Monkeypox case detection. Full article

Introduction: In public health, machine learning algorithms have been used to predict or diagnose chronic epidemiological disorders such as diabetes mellitus, which has reached epidemic proportions due to its widespread occurrence around the world. Diabetes is just one of several diseases for which machine learning techniques can be used in the diagnosis, prognosis, and assessment procedures. Methodology: In this paper, we propose a new approach for boosting the classification of diabetes based on a new metaheuristic optimization algorithm. The proposed approach proposes a new feature selection algorithm based on a dynamic Al-Biruni earth radius and dipper-throated optimization algorithm (DBERDTO). The selected features are then classified using a random forest classifier with its parameters optimized using the proposed DBERDTO. Results: The proposed methodology is evaluated and compared with recent optimization methods and machine learning models to prove its efficiency and superiority. The overall accuracy of diabetes classification achieved by the proposed approach is 98.6%. On the other hand, statistical tests have been conducted to assess the significance and the statistical difference of the proposed approach based on the analysis of variance (ANOVA) and Wilcoxon signed-rank tests. Conclusions: The results of these tests confirmed the superiority of the proposed approach compared to the other classification and optimization methods. Full article

Attempting to address optimization problems in various scientific disciplines is a fundamental and significant difficulty requiring optimization. This study presents the waterwheel plant technique (WWPA), a novel stochastic optimization technique motivated by natural systems. The proposed WWPA’s basic concept is based on modeling the waterwheel plant’s natural behavior while on a hunting expedition. To find prey, WWPA uses plants as search agents. We present WWPA’s mathematical model for use in addressing optimization problems. Twenty-three objective functions of varying unimodal and multimodal types were used to assess WWPA’s performance. The results of optimizing unimodal functions demonstrate WWPA’s strong exploitation ability to get close to the optimal solution, while the results of optimizing multimodal functions show WWPA’s strong exploration ability to zero in on the major optimal region of the search space. Three engineering design problems were also used to gauge WWPA’s potential for improving practical programs. The effectiveness of WWPA in optimization was evaluated by comparing its results with those of seven widely used metaheuristic algorithms. When compared with eight competing algorithms, the simulation results and analyses demonstrate that WWPA outperformed them by finding a more proportionate balance between exploration and exploitation. Full article

According to the American Cancer Society, breast cancer is the second largest cause of mortality among women after lung cancer. Women’s death rates can be decreased if breast cancer is diagnosed and treated early. Due to the lengthy duration of manual breast cancer diagnosis, an automated approach is necessary for early cancer identification. This research proposes a novel framework integrating metaheuristic optimization with deep learning and feature selection for robustly classifying breast cancer from ultrasound images. The structure of the proposed methodology consists of five stages, namely, data augmentation to improve the learning of convolutional neural network (CNN) models, transfer learning using GoogleNet deep network for feature extraction, selection of the best set of features using a novel optimization algorithm based on a hybrid of dipper throated and particle swarm optimization algorithms, and classification of the selected features using CNN optimized using the proposed optimization algorithm. To prove the effectiveness of the proposed approach, a set of experiments were conducted on a breast cancer dataset, freely available on Kaggle, to evaluate the performance of the proposed feature selection method and the performance of the optimized CNN. In addition, statistical tests were established to study the stability and difference of the proposed approach compared to state-of-the-art approaches. The achieved results confirmed the superiority of the proposed approach with a classification accuracy of 98.1%, which is better than the other approaches considered in the conducted experiments. Full article

The performance of a hybrid solar desalination system is predicted in this work using an enhanced prediction method based on a supervised machine-learning algorithm. A humidification–dehumidification (HDH) unit and a single-stage flashing evaporation (SSF) unit make up the hybrid solar desalination system. The Al-Biruni Earth Radius (BER) and Particle Swarm Optimization (PSO) algorithms serve as the foundation for the suggested algorithm. Using experimental data, the BER–PSO algorithm is trained and evaluated. The cold fluid and injected air volume flow rates were the algorithms’ inputs, and their outputs were the hot and cold fluids’ outlet temperatures as well as the pressure drop across the heat exchanger. Both the volume mass flow rate of hot fluid and the input temperatures of hot and cold fluids are regarded as constants. The results obtained show the great ability of the proposed BER–PSO method to identify the nonlinear link between operating circumstances and process responses. In addition, compared to the other analyzed models, it offers better statistical performance measures for the prediction of the outlet temperature of hot and cold fluids and pressure drop values. Full article